41 comments:

Dropperful is a no more a non-existent word than Teaspoonful.______________________Definition of DROPPER

: a short glass tube fitted with a rubber bulb and used to measure liquids by drops—called also eyedropper, medicine dropper—drop·per·ful

From: http://mw2.merriam-webster.com/medical/dropperful

______________________Literary usage of Dropperful

1. Clinical Hematology: A Practical Guide to the Examination of the Blood with by John C. DaCosta (1901)"After the first dropperful of diluent has been added to the contents of the tube, the latter are mixed by inverting the tube a number of times with the ..."

2. The Laryngoscope by American Laryngological, Rhinological, and Otological Society (1901)"Further enquiry revealed that one-half dropperful of "ear-drops" had been put into the' ear hourly from \ pm to 8 pm The mother informed me that the "drops" ..."

3. Hand-book of modern treatment and medical formulary by William B.. Campbell (1914)"Kig: One-half a dropperful warmed, to be instilled into the ear, for adults; less for a child. Indication : Useful in earache. ..."

4. The Prevention of Disease: A Popular Treatise by Kenelm Winslow (1916)"This consists, first, in thorough washing of the sexual organs with soap and water, dropping into the urinary passage a medicine-dropperful of a freshly ..."

5. Every-day Diseases of Children and Their Rational Treatment by George Henry Candler (1914)"... with a dropperful or two of plain boiled (cool) water to insure its arrival in the stomach. This same combination will be of marked service in any case ..."

There really should be some kind of spell-check mechanism before you fax it out (think it's called a dictionary). Our pharmacy prefers the "Would you like to" game and have the Dr. check the box of the preferred option & fax it back to us. Too bad there isn't a "sig-check" application out there to use ( use a dropperful for a nasal spray? really???)

Now now, give them a break. There wasn't room on the fax to notate that the sender's entire supply of diet coke was viciously stolen by the night shift and the cruel & evile pepsi-drinking supervisor wouldn't let them restock same.

lumbiesi - occurs when someone has no diet coke; a zombie-like condition wherein the patient exhibits slurred speech, drooping eyelids, shuffling gait and cognitive difficulty to the extent that those surrounding them may assume they have had a stroke.

Looks like the Wal-Mart pharmacy had the manager's 8-year old helping out that day. Seriously, I am quite embarrassed by some of the faxes I see being sent off to docs' offices sometimes. Well, at least the message on this one is crude, but clear?

Way to go tech! Since when do 8 years olds help the pharmacist? The 8 year olds I tutor have more professional handwriting, and can spell manufacture. All that fax needs is a heart or smiley under the explanation point.

I hate having to put "by mouth" in SIGs where the medication is clearly a liquid. Are people THAT stupid we have to tell them to put a liquid in your mouth, really?? I gotta say, I've seen some dr's handwriting (sorry dr grumpy lol) that looks lie they spell like that too!

Nasohist/Trigofen does not even exist north of the 49th parallel. There is not enough information for me to determine what the generic equivalent in Canada would be. So excuse my ignorance- this is why I'm a tech and you're not.

P.S: Get a grip - the emphasis of this post was on a different topic. Let's move on, shall we?

As far as underlining goes. You would be amazed how many times a similar message is sent to a doctor's office and they send a auth for more refills back. It makes me wonder if they even read the messages we send.

@PharmGamerKid & Anon 1:23 - This is extremely scary!! It makes me glad that I rarely run into that kind of thing. Why yes, yes I do choose my medical team very carefully! And yes, yes I do report idiotic behavior like that to my insurance company!! Geez Louise!!

After receiving the same fax back three times, with "Prn refills" or "yes" as a response to a question that does not have "yes" as a possible answer, I must admit to underlining and circling. And circling. And circling. Also, after requesting refills and being yelled at by a nurse that they've called/faxed it in, only to have them realize that they gave the authorization to our competitor, I can actually live with the typos/errors as long as the response is appropriate!

@SweetCheeks: in this case (with correct spelling and more mature handwriting...) I would definintely be using cannot. There are some times when the contraction just doesn't work, among other things it's too informal. Of course that could just be the end product of way too many years of college writing history papers, where couldn't and didn't just aren't the done thing.

Really: thestudent. Yes! You need to put "by mouth" on the obvious. Last week after counseling a mom on amoxicillin susp for her toddler's ear infection, she asked if the 5 MLS went in the ear. Oh man....in the mouth! So glad she asked (& Tess it was a genuine question). Remember the by mouth part helps protect your precious hard earned license!

Actually, I do not find it that bad - yes, it looks like it was done in haste. BUT, it is still LEGIBLE!

That's something that cannot be said about many doctor's handwriting. (Not that YOU have bad handwriting, right, doc?)

Also, for some of the other commenters, while I prefer cannot over can not; I think it is better to spell it out rather than use the contraction - can't. This is done by fax and they don't know how it will print out on your end. There is also a shortage of space on that form. (I think I see a lot of white space which as been whitened out for this post!?)

Could they have done better? Sure, but the meaning is clear; this isn't a published paper; and time was perhaps more important than spelling or being "perfect."

As long as they are perfect in the medicine that they do fill, then I'm okay with this.

P.S., I commenting after you have removed part of the post; so perhaps this wasn't such a big deal to you afterall.

@ anonymous 10:08 4/26I know, trust me I do write it every time! I guess I was just commenting on the fact that; can people really be this clueless about where a liquid goes?? And the answer is always, as any medical professional knows, an emphatic (and head smacking) YES!

So of a sidenote I get a funny phone call today from an ancient man who says "ya hhhmmm i have a question I used to get Dilantin brand name, which is a good all American tablet, where is this generic phenytoe-in(phenytoin) tablet made? It ain't made in China is it?" I go to bottle and look and think ooh boy and promptly announce "uh no sir they are made i isreal." He starts howling ...."jewish tablets huh. Well those have to be better than Chinese ones." I hang up giggling and think to myself get your self together Rph it wasn't that funny. Was it?

Some state medicaids require, for high dollar rxs, that the prescriber write out the rx in his/her own handwriting, instead of say a computer-generated fax. One particular request and response from this MD was priceless. The rx was for Nexium and the tech sent a fax over requesting that the rx be in the own physician's hand (instead of handWRITING). So, the MD, traced his hand onto the fax request and wrote "Nexium 40 mg #60 one BID" inside the outline of his hand. Gotta love a doc with a good sense of humor.

I've gotten faxes from the doctors offices for scripts for drugs no longer on the market. I've had the discussion with one office that cisapride is no longer available about 6 times now in the past couple of months. It is not like it just recently go pulled, it has been off the market for over 10 years. I also hate when I fax over a note for the office to either do a prior auth or change the medication and in response I get an e-script or fax of the same Rx the insurance wants a PA for.

Welcome to my whining!

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